Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review
We report a rare case of Listeria monocytogenes rhombencephalitis with brainstem abscess in a previously healthy adult amid a nationwide outbreak linked to deli meat. The 56-year-old man exhibited rapid neurologic deterioration, requiring intensive care and prolonged antibiotic therapy. Diagnostic i...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2025-05-01
|
| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.1291 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849722474019684352 |
|---|---|
| author | Brenton T. Bicknell Chandler Davis Kimberly Y. Chieh Amit Arora Roger D. Smalligan |
| author_facet | Brenton T. Bicknell Chandler Davis Kimberly Y. Chieh Amit Arora Roger D. Smalligan |
| author_sort | Brenton T. Bicknell |
| collection | DOAJ |
| description | We report a rare case of Listeria monocytogenes rhombencephalitis with brainstem abscess in a previously healthy adult amid a nationwide outbreak linked to deli meat. The 56-year-old man exhibited rapid neurologic deterioration, requiring intensive care and prolonged antibiotic therapy. Diagnostic imaging confirmed multiple brainstem abscesses, and aggressive antibiotics stabilized his condition. This case underscores the importance of prompt recognition and treatment of neurolisteriosis, especially in foodborne outbreaks, as well as the potential for severe complications in otherwise healthy individuals, highlighting the need for heightened vigilance even among patients who are not immunocompromised. |
| format | Article |
| id | doaj-art-655da04ad60e4a44aff92fabf6c1afc8 |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-655da04ad60e4a44aff92fabf6c1afc82025-08-20T03:11:20ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-05-014510.7326/aimcc.2024.1291Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature ReviewBrenton T. Bicknell0Chandler Davis1Kimberly Y. Chieh2Amit Arora3Roger D. Smalligan41UAB Heersink School of Medicine, Huntsville Regional Campus, University of Alabama at Birmingham, Huntsville, Alabama1UAB Heersink School of Medicine, Huntsville Regional Campus, University of Alabama at Birmingham, Huntsville, Alabama1UAB Heersink School of Medicine, Huntsville Regional Campus, University of Alabama at Birmingham, Huntsville, Alabama2Neurology Consultants of Huntsville, Huntsville, Alabama3Department of Medicine, University of Alabama at Birmingham—Huntsville, Huntsville, AlabamaWe report a rare case of Listeria monocytogenes rhombencephalitis with brainstem abscess in a previously healthy adult amid a nationwide outbreak linked to deli meat. The 56-year-old man exhibited rapid neurologic deterioration, requiring intensive care and prolonged antibiotic therapy. Diagnostic imaging confirmed multiple brainstem abscesses, and aggressive antibiotics stabilized his condition. This case underscores the importance of prompt recognition and treatment of neurolisteriosis, especially in foodborne outbreaks, as well as the potential for severe complications in otherwise healthy individuals, highlighting the need for heightened vigilance even among patients who are not immunocompromised.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1291 |
| spellingShingle | Brenton T. Bicknell Chandler Davis Kimberly Y. Chieh Amit Arora Roger D. Smalligan Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review Annals of Internal Medicine: Clinical Cases |
| title | Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review |
| title_full | Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review |
| title_fullStr | Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review |
| title_full_unstemmed | Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review |
| title_short | Foodborne Listeria monocytogenes Rhombencephalitis and Brainstem Abscess During a National Outbreak: Case Report and Literature Review |
| title_sort | foodborne listeria monocytogenes rhombencephalitis and brainstem abscess during a national outbreak case report and literature review |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.1291 |
| work_keys_str_mv | AT brentontbicknell foodbornelisteriamonocytogenesrhombencephalitisandbrainstemabscessduringanationaloutbreakcasereportandliteraturereview AT chandlerdavis foodbornelisteriamonocytogenesrhombencephalitisandbrainstemabscessduringanationaloutbreakcasereportandliteraturereview AT kimberlyychieh foodbornelisteriamonocytogenesrhombencephalitisandbrainstemabscessduringanationaloutbreakcasereportandliteraturereview AT amitarora foodbornelisteriamonocytogenesrhombencephalitisandbrainstemabscessduringanationaloutbreakcasereportandliteraturereview AT rogerdsmalligan foodbornelisteriamonocytogenesrhombencephalitisandbrainstemabscessduringanationaloutbreakcasereportandliteraturereview |